Social Determants of Health (SDOH) - Gay Cy: Seattle's LGBTQ Center

Contents:

• LBIAN, GAY, BISEXUAL, AND TRANSGENR HEALTH
• ADDRSG THE SOCIAL DETERMANTS OF HEALTH INEQUI AMONG GAY MEN & MEN WHO HAVE SEX WH MEN
• THE SOCIAL DETERMANTS OF HEALTH AMONG LBIAN, GAY, BISEXUAL, AND TRANSGENR (LGBT) ADULTS NASHVILLE, TENNSEE
• THE SOCIAL DETERMANTS OF HEALTH AMONG LBIAN, GAY, BISEXUAL, AND TRANSGENR (LGBT) ADULTS NASHVILLE, TENNSEE

LBIAN, GAY, BISEXUAL, AND TRANSGENR HEALTH

People who are lbian, gay, bisexual, or transgenr (LGBT) are members of every muny. AbstractPurpose: We characterize dispari between lbian, gay, and bisexual (LGB) adults and heterosexual adults across multiple health termants a natnally reprentative sample. Separate Poisson regrsn mols were ed to timate the relative risk (RR) that gay/lbian and bisexual adults, rpectively, experienced each health termant, relative to heterosexual adults of the same genr and age group (ag 18–25, 26–34, 35–49, and 50–64).

Rults: Bisexual femal exhibed dispari on all enomic/health re accs factors (no llege gree, hoehold poverty, means-tted assistance, unemployment, and lackg health surance) across nearly all age groups; lbian/gay femal exhibed dispari means-tted assistance and health surance for some age groups. Notably fewer enomic dispari were observed among gay and bisexual mal. Bisexual and lbian/gay femal, across age groups, had 1.

G., same-sex marriage prohibn) to physil16–20 and behavral health21–27 dispari among lbian, gay, and bisexual (LGB) dividuals.

ADDRSG THE SOCIAL DETERMANTS OF HEALTH INEQUI AMONG GAY MEN & MEN WHO HAVE SEX WH MEN

An early study g 1989–1991 General Social Survey data found that gay and bisexual mal earned 11%–27% ls than heterosexual mal wh the same occupatn, tn, and experience. 30 More recently, a study g 2014–2017 Behavral Risk Factor Surveillance System data reported that bisexual women—but not lbian women, gay men, or bisexual men—had signifintly higher rat of poverty than their heterosexual unterparts, after adjtg for mographic factors. Studi g the Natnal Health Interview Survey found that LGB adults were signifintly ls likely to have ever married37 and olr gay and bisexual men were signifintly more likely to be livg alone (relative to heterosexual men).

THE SOCIAL DETERMANTS OF HEALTH AMONG LBIAN, GAY, BISEXUAL, AND TRANSGENR (LGBT) ADULTS NASHVILLE, TENNSEE

Our sample was rtricted to dividuals ag 18–64 who intified as heterosexual, lbian/gay, or bisexual (n = 153, 939). Our sample prised 11, 133 LGB adults, specifilly 1765 gay mal, 1677 bisexual mal, 1760 lbian/gay femal, and 5931 bisexual femal (Table 1). This study was emed exempt om review by RAND's Instutnal Review Board, as volved intified survey Size by Sexual Inty, Genr, and Age Among Rponnts of the 2015–2018 Natnal Survey on Dg Use and Health Heterosexual femalLbian/gay femalBisexual femalHeterosexual malGay malBisexual malAge tegory 18–25 Years24, 139771356424, 621722925 26–34 Years16, 865412140115, 251426349 35–49 Years22, 77240884519, 794394277 50–64 Years10, 4521691218912223126MeasurSexual inty was asssed by an em that asked, “Which one of the followg do you nsir yourself to be?

” wh rponse choic of “Heterosexual, that is, straight, ” “Lbian or gay, ” “Bisexual, ” and “Don't know.

We report RRs parg lbian/gay and bisexual adults to heterosexual adults of the same genr and age; statistilly signifint RRs were terpreted as a dispary. Enomic and Health Care Accs Factors: Relative Risk Estimat of Dispari Among Lbian/Gay and Bisexual Femal by Age Heterosexual femalLbian/gay femalBisexual femal%%RR (95% CI)%RR (95% CI)No llege gree 18–25 Years82. 71)Relative to same-age heterosexual femal, lbian/gay femal ag 18–25 were signifintly more likely to lack a llege gree (RR = 1.

THE SOCIAL DETERMANTS OF HEALTH AMONG LBIAN, GAY, BISEXUAL, AND TRANSGENR (LGBT) ADULTS NASHVILLE, TENNSEE

05); nversely, lbian/gay femal ag 50–64 were signifintly ls likely to lack a llege gree (RR = 0. Lbian/gay femal ag 18–25 and ag 35–49 were signifintly more likely to have received any means-tted assistance (RR = 1. Lbian/gay femal ag 26–34 and ag 35–49 had elevated risk of beg unsured durg the past year (RR = 1.

Enomic and health re accs factors: dispari among gay and bisexual malComparg across LGB subgroups, relative to heterosexual peers, gay mal exhibed the fewt dispari enomic and health re accs factors (Table 3 and Fig.

Gay mal ag 18–25 had elevated risk of past-year unemployment (RR = 1. 18) and gay mal ag 50–64 had elevated risk of beg unsured durg the past year (RR = 2.

Conversely, gay mal of all ag exhibed an tnal advantage relative to heterosexual mal of the same age, beg signifintly ls likely to lack a llege gree (RR ranged om 0. In addn, gay mal ag 26–34 had signifintly lower risk of poverty (RR = 0. Enomic and Health Care Accs Factors: Relative Risk Estimat of Dispari Among Gay and Bisexual Mal by Age Heterosexual malGay malBisexual mal%%RR (95% CI)%RR (95% CI)No llege gree 18–25 Years88.

2 tim the risk of lifetime arrt, pared wh heterosexual femal of the same Factors: Relative Risk Estimat of Dispari Among Lbian/Gay and Bisexual Femal by Age Heterosexual femalLbian/gay femalBisexual femal%%RR (95% CI)%RR (95% CI)Liv alone 18–25 Years17. 33)Dispary patterns were siar between lbian/gay femal and bisexual femal.

RR of livg alone was signifintly elevated among lbian/gay femal over age 25 (RR ranged om 1.

Lbian/gay femal of all ag were signifintly more likely to have never married, wh the most pronounced dispari observed for dividuals ag 50–64 (RR = 5. Lbian/gay femal every age group were signifintly more likely to have low relig service attendance (RR ranged om 1.

9 tim the risk of lifetime arrt, pared wh heterosexual femal of the same factors: dispari among gay and bisexual malGay mal every age group exhibed signifint dispari livg alone, beg never married, and low relig service attendance pared wh heterosexual mal of the same age (Table 5 and Fig. In ntrast to the dispari observed among LGB femal, younger gay mal had signifintly lower risk of lifetime arrt (RR ranged om 0. 18), although the magnu of the dispari was not as large for olr bisexual mal as for olr gay mal.

19) Factors: Relative Risk Estimat of Dispari Among Gay and Bisexual Mal by Age Heterosexual malGay malBisexual mal%%RR (95% CI)%RR (95% CI)Liv alone 18–25 Years19.